| Regimental number | 30642 |
| Occupation | Farm hand |
| Next of kin | Aunt, Mrs H R Jensen, Matarawa, Carterton |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 20th Reinforcements (1st Draft), Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board Port Lyttelton on |
| Harbour records indicate that the actual date of sailing was 8 December 1916. | |
| Sources | Nominal Roll Vol. 2: Roll 47, p. 6 |